What Actually Happens in a Co.Consult Supervision Session? (Your Questions, Answered)
The questions OTs actually ask before booking one in.
A few of you have asked what actually happens in a Co.Consult session. Not the sales-page version — the real one. So here it is, FAQ style, straight from us.
What actually happens in a Co.Consult session?
A senior clinician — Kate or Kacey, depending on the case — Zooms into your session. You, your client, and us: a third set of eyes, live, while it's actually happening. Not a case discussion after the fact, not a report review a week later. We're there, on the screen, while the work is happening in real time.
You hold the therapeutic relationship. We bring an extra layer of clinical reasoning on the spot.
Why join live, instead of just talking it through afterwards?
Because some things you can only really catch live. The way a child responds to a piece of equipment the second it's introduced. The question a parent asks that changes the whole direction of the session. The moment you're genuinely not sure whether to push forward or pull back.
You can debrief a case after the fact and still miss what actually happened in the room. Being there while it's happening is a different kind of support altogether.
What kind of cases are actually the right fit?
Honestly, two kinds.
The first is scope. Maybe this kid is right on the edge of your scope, but sits smack in our happy place — paediatric AT, medically complex presentations, physical disability plus intellectual disability. That overlap is exactly where Co.Consult earns its keep.
The second isn't a scope problem at all. Sometimes you're just too close to the case. You've been in it for months, you know this family well, and you can't see the forest for the trees anymore. That's not a competence issue — it's what happens when you're the only clinician who's ever looked at something. A second set of eyes, live, can be exactly what shifts it.
Will you say yes to every case?
No — and that matters. If a case isn't a fit for Co.Consult, we'll tell you. We'd rather be upfront early than take on something that isn't the right match for anyone.
What's the actual process, step by step?
1. Screening. You get in touch and tell us what you're after. We'll let you know honestly if it's in scope, and match you with the right clinician for the case — Kate or Kacey, depending on what's needed. You get your client's consent before anything else happens.
2. Pre-consult conversation. We talk before the session — what you've already tried, any sensitive social context your matched clinician needs to know, what you're hoping to get out of it, and the logistics.
3. Co.Consult. The Zoom session itself. The plan, in action, live — you and your client, with your matched clinician joining in real time.
4. Reflection. We debrief, either straight after the session or at a later date, whichever suits the case and your schedule.
What happens after the session?
That's the reflection step — consolidating what came up, talking through recommendations, and figuring out next steps together. Sometimes that happens the moment we log off. Sometimes it's better a few days later, once you've had time to sit with it.
Who is Co.Consult actually for?
Solo and regional OTs mostly — anyone who's found themselves the only clinician in the room on a case that deserves more than one set of eyes. You don't have to be the only person carrying it.
Got a case that could use a second set of eyes?
If you're reading this with a specific kid in mind — that's usually a good sign it's worth a conversation.
If what you actually need is someone to review a report rather than join a live session, Draft.Lab might be the better fit. Or we can combine both.